Demetracopoulos, Constantine Antony

Demetracopoulos, Constantine Antony is an individual health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Demetracopoulos, Constantine Antony can be contacted via phone (212) 606-1056.

Contact Information

Primary practice address
535 E 70Th St New York NY 10021-4823
Fax: (212) 606-1246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 256723 New York
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 256723 New York

Profile Details

NPI number 1346417805
LBN Legal business name Demetracopoulos, Constantine Antony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Dec 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346417805 NPPES
New York MEDICAID 03690397

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